Civil Service Daily Time Record Form
Civil Service Daily Time Record Form
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
Sunday 16
8:00 12:05 12:45 5:00
2
8:00 12:05 12:45 5:00 17
8:00 12:05 12:45 5:00
3
7:55 12:04 12:52 5:03 18
7:58 12:04 12:55 5:01
4
8:00 12:05 12:45 5:00 19
7:59 12:01 12:54 5:02
5
8:01 12:01 12:57 5:01 20
8:00 12:08 12:52 5:01
6
7:59 12:01 12:54 5:02 21
Saturday
7
8:00 12:08 12:52 5:01 22
Sunday
8
Saturday 23
7:55 12:05 12:56 5:02
9
Sunday 24
7:56 12:06 12:53 5:04
10
7:55 12:05 12:56 5:02 25
8:01 12:08 12:45 5:01
11
7:56 12:06 12:53 5:04 26
7:51 12:05 12:45 5:02
12
7:58 12:06 12:55
5:00
27 7:58 12:08 12:56 5:04
13
8:00 12:11 12:55 5:02 28
Saturday
14
Saturday 29
Sunday
15
Sunday 30
8:00 12:11 12:55 5:02
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
7:55 12:04 12:52 5:03 16
7:55 12:05 12:56 5:02
2
8:00 12:05 12:45 5:00 17
8:00 12:05 12:45 5:00
3
7:55 12:04 12:52 5:03 18
Saturday
4
Saturday 19
Sunday
5
Sunday 20
8:01 12:08 12:45 5:01
6
7:59 12:01 12:54 5:02 21
7:59 12:01 12:54 5:02
7
8:00 12:08 12:52 5:01 22
8:00 12:08 12:52 5:01
8
7:55 12:05 12:56 5:02 23
7:55 12:05 12:56 5:02
9
7:56 12:06 12:53 5:04 24
7:56 12:06 12:53 5:04
10
7:55 12:05 12:56 5:02 25
Saturday
11
Saturday 26
Sunday
12
Sunday 27 7:58 12:08 12:56 5:04
13
8:00 12:11 12:55 5:02 28
8:00 12:11 12:55 5:02
14
7:51 12:05 12:45 5:02
15
7:58 12:08 12:56 5:04
16
31
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
7:55 12:04 12:52 5:03 16
7:56 12:06 12:53 5:04
2
8:00 12:05 12:45 5:00 17
8:00 12:05 12:45 5:00
3
7:55 12:04 12:52 5:03 18
Saturday
4
Saturday 19
Sunday
5
Sunday 20
7:51 12:05 12:45 5:02
6
7:59 12:01 12:54 5:02 21
7:59 12:01 12:54 5:02
7
8:00 12:08 12:52 5:01 22
8:00 12:08 12:52 5:01
8
7:55 12:05 12:56 5:02 23
7:55 12:05 12:56 5:02
9
7:56 12:06 12:53 5:04 24
7:56 12:06 12:53 5:04
10
7:55 12:05 12:56 5:02 25
Saturday
11
Saturday 26
Sunday
12
Sunday 27
7:51 12:05 12:45 5:02
13
8:00 12:11 12:55 5:02 28
8:00 12:11 12:55 5:02
14
7:51 12:05 12:45 5:02 29
7:51 12:05 12:45 5:02
15
7:58 12:08 12:56 5:04 30
7:59 12:01 12:54 5:02
16 31
8:00 12:08 12:52 5:01
31
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
Saturday 16
Sunday
2
Sunday 17
8:00 12:05 12:45 5:00
3
8:00 12:08 12:52 5:01 18
7:58 12:04 12:55 5:01
4
7:55 12:05 12:56 5:02 19
8:00 12:08 12:52 5:01
5
8:01 12:01 12:57 5:01 20
7:51 12:05 12:45 5:02
6
7:59 12:01 12:54 5:02 21
7:59 12:01 12:54 5:02
7
8:00 12:08 12:52 5:01 22
Saturday
8
Saturday 23
Sunday
9
Sunday 24
7:56 12:06 12:53 5:04
13
8:00 12:11 12:55 5:02 28
8:00 12:11 12:55 5:02
14
7:51 12:05 12:45 5:02 29
Saturday
15
Saturday 30 Sunday
16
31
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
7:55 12:04 12:52 5:03 16
8:01 12:08 12:45 5:01
2
8:00 12:05 12:45 5:00 17
8:00 12:05 12:45 5:00
3
7:55 12:05 12:56 5:02 18
7:58 12:04 12:55 5:01
4
7:56 12:06 12:53 5:04 19
7:55 12:05 12:56 5:02
5
8:01 12:01 12:57 5:01 20
Saturday
6
Saturday 21
Sunday
7
Sunday 22
8:00 12:08 12:52 5:01
8
7:55 12:05 12:56 5:02 23
7:55 12:05 12:56 5:02
9
7:56 12:06 12:53 5:04 24
7:56 12:06 12:53 5:04
10
7:51 12:05 12:45 5:02 25
8:01 12:08 12:45 5:01
11
7:58 12:08 12:56 5:04 26
7:51 12:05 12:45 5:02
12
7:58 12:06 12:55
5:00
27
Saturday
13
Saturday 28
Sunday
14
Sunday 29
7:51 12:05 12:45 5:02
15
7:58 12:08 12:56 5:04 30 7:58 12:08 12:56 5:04
16 31 7:55 12:19 12:56 5:11
17
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
16 16
17 17
8:00 12:05 12:45 5:00
18
7:58 12:04 12:55 5:01 18
7:58 12:04 12:55 5:01
19
Saturday 19
Saturday
20
Sunday 20
Sunday
21
7:59 12:01 12:54 5:02 21
7:59 12:01 12:54 5:02
22
8:00 12:08 12:52 5:01 22
8:00 12:08 12:52 5:01
23
7:55 12:05 12:56 5:02 23
7:55 12:05 12:56 5:02
24
7:56 12:06 12:53 5:04 24
7:56 12:06 12:53 5:04
25
8:01 12:08 12:45 5:01 25
8:01 12:08 12:45 5:01
26
Saturday 26
Saturday
27
Sunday 27
Sunday
28
8:00 12:11 12:55 5:02 28
8:00 12:11 12:55 5:02
29
7:51 12:05 12:45 5:02 29
7:51 12:05 12:45 5:02
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
Saturday 16
Sunday
2
Sunday 17
8:00 12:05 12:45 5:00
3
7:59 12:11 12:45 5:00 18
7:51 12:04 12:55 5:01
4
7:29 12:08 12:33 5:04 19
8:00 12:05 12:45 5:00
5
8:01 12:01 12:57 5:01 20
7:55 12:04 12:55 5:01
6
7:59 12:01 12:54 5:02 21
7:59 12:01 12:54 5:02
7
8:00 12:08 12:52 5:01 22
Saturday
8
Saturday 23
Sunday
9
Sunday 24
7:56 12:09 12:53 5:04
10
7:55 12:05 12:56 5:02 25
8:01 12:08 12:45 5:01
11
7:56 12:06 12:53 5:04 26
7:48 12:06 12:53 5:04
12
7:58 12:06 12:55
5:00
27
8:16 12:08 12:45 5:01
13
8:00 12:11 12:55 5:02 28
8:00 12:11 12:55 5:02
14
7:51 12:05 12:45 5:02 29
Saturday
15
Saturday 30 Sunday
31
7:55 12:04 12:55 5:01
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
8:01 12:01 12:57 5:01 16
8:00 12:05 12:45 5:00
2
7:59 12:01 12:54 5:02 17
7:55 12:04 12:55 5:01
3
7:59 12:11 12:45 5:00 18
7:51 12:04 12:55 5:01
4
7:29 12:08 12:33 5:04 19
Saturday
5
Saturday 20
Sunday
6
Sunday 21
7:59 12:01 12:54 5:02
7
8:00 12:08 12:52 5:01 22
7:48 12:06 12:53 5:04
8
7:58 12:06 12:55
5:00
23
8:16 12:08 12:45 5:01
9
8:00 12:11 12:55 5:02 24
7:56 12:09 12:53 5:04
10
7:55 12:05 12:56 5:02 25
8:01 12:08 12:45 5:01
11
7:56 12:06 12:53 5:04 26
Saturday
12
Saturday 27
Sunday
13
Sunday 28
8:00 12:11 12:55 5:02
14
7:51 12:05 12:45 5:02 29
7:55 12:19 12:33 5:09
15
7:59 12:07 12:45 5:11 30
7:51 12:32 12:55 5:01
31
7:55 12:04 12:48 5:03
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
7:59 12:11 12:45 5:00 16
Saturday
2
Saturday 17
Sunday
3
Sunday 18
7:51 12:04 12:55 5:01
4
7:29 12:08 12:33 5:04 19
8:00 12:05 12:45 5:00
5
8:01 12:01 12:57 5:01 20
7:55 12:04 12:55 5:01
6
7:59 12:01 12:54 5:02 21
7:59 12:01 12:54 5:02
7
8:00 12:08 12:52 5:01 22
7:55 12:04 12:55 5:01
8
7:59 12:01 12:54 5:02 23
Saturday
9
Saturday 24
Sunday
10
Sunday 25
8:01 12:08 12:45 5:01
11
7:56 12:06 12:53 5:04 26
7:48 12:06 12:53 5:04
12
7:58 12:06 12:55
5:00
27
8:16 12:08 12:45 5:01
13
8:00 12:11 12:55 5:02 28
8:00 12:11 12:55 5:02
14
7:51 12:05 12:45 5:02 29
7:48 12:06 12:53 5:04
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
Sunday 16
7:59 12:01 12:54 5:02
2
7:29 12:08 12:33 5:04 17
8:00 12:05 12:45 5:00
3
7:59 12:11 12:45 5:00 18
7:51 12:04 12:55 5:01
4
7:29 12:08 12:33 5:04 19
8:00 12:05 12:45 5:00
5
8:01 12:01 12:57 5:01 20
7:55 12:04 12:55 5:01
6
7:59 12:01 12:54 5:02 21
Saturday
7
Saturday 22
Sunday
8
Sunday 23
7:48 12:06 12:53 5:04
9
7:56 12:06 12:53 5:04 24
7:56 12:09 12:53 5:04
10
7:55 12:05 12:56 5:02 25
8:01 12:08 12:45 5:01
11
7:56 12:06 12:53 5:04 26
7:48 12:06 12:53 5:04
12
7:58 12:06 12:55
5:00
27
8:16 12:08 12:45 5:01
13
8:00 12:11 12:55 5:02 28
Saturday 12:11 12:55 5:02
14
Saturday 29
Sunday
15
Sunday 30
7:29 12:00 12:33 5:11
31
7:51 12:07 12:42 5:19
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
7:29 12:08 12:33 5:04 16
7:51 12:04 12:55 5:01
2
8:01 12:01 12:57 5:01 17
8:00 12:05 12:45 5:00
3
7:59 12:11 12:45 5:00 18
Saturday
4
Saturday 12:08 12:33 5:04 19
Sunday
5
Sunday 12:01 12:57 5:01 20
7:28 12:01 12:55 5:01
6
7:59 12:01 12:54 5:02 21
7:19 12:01 12:54 5:03
7
8:00 12:08 12:52 5:01 22
7:42 12:04 12:55 5:00
8
7:59 12:01 12:54 5:02 23
7:44 12:01 12:54 5:02
9
8:00 12:08 12:52 5:01 24
7:56 12:09 12:53 5:04
10
7:55 12:05 12:56 5:02 25
Saturday
11
Saturday 26
Sunday
12
Sunday 27
8:11 12:03 12:45 5:01
13
8:01 12:11 12:28 5:09 28
8:01 12:11 12:55 5:02
14
7:51 12:05 12:48 5:02 29
8:00 12:18 12:45 5:01
15
7:11 12:08 12:41 5:12 30
8:00 12:12 12:55 5:02
31
7:55 12:08 12:55 5:01
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1
7:29 12:08 12:33 5:04 16
Saturday
2
Saturday 17
Sunday
3
Sunday 18
7:51 12:04 12:55 5:01
4
7:29 12:08 12:33 5:04 19
8:00 12:05 12:45 5:00
5
8:01 12:01 12:57 5:01 20
7:55 12:04 12:55 5:01
6
7:59 12:01 12:54 5:02 21
7:59 12:01 12:54 5:02
7
8:00 12:08 12:52 5:01 22
7:55 12:04 12:55 5:01
8
7:59 12:01 12:54 5:02 23
Saturday
9
Saturday 24
Sunday
10
Sunday 25
8:01 12:08 12:45 5:01
11
7:56 12:06 12:53 5:04 26
7:48 12:06 12:53 5:04
12
7:58 12:06 12:55
5:00
27
8:16 12:08 12:45 5:01
13
8:00 12:11 12:55 5:02 28
8:00 12:11 12:55 5:02
14
7:51 12:05 12:45 5:02 29
7:48 12:06 12:53 5:04
15
7:51 12:05 12:45 5:02 30 Saturday
31
Sunday
I hereby certify on my honor that the above is true and correct report of I hereby certify on my honor that the above is true and correct report of the
the hours of work performed;record of which was at the time of arrival and hours of work performed;record of which was at the time of arrival and departure
departurefrom the office. from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Name: Name:
Position: Position:
Division/Office: Division/Office:
For the Month of: For the Month of:
Official hours for arrival & Official hours for arrival &
Departure (Regular days) Departure (Regular days)
Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar- Arrival Depar-
DAYS Ture Ture Ture DAYS Ture Ture Ture
AM PM PM AM PM PM
1 16
2 17
3 18
4 19
5 20
6 21
7 22
8 23
9 24
10 25
11 26
12 27
13 28
14 29
15 30
31
I hereby certify on my honor that the above is true and correct report of the I hereby certify on my honor that the above is true and correct report of
hours of work performed;record of which was at the time of arrival and the hours of work performed;record of which was at the time of arrival and
departurefrom the office. departure from the office.
______________________________________________ _______________________________________________
Signature Signature
Verified as to prescribed hours Verified as to prescribed hours
Signature
_______________________________ Verified as to prescribed hours
Department Head Department Head
CIVIL SERVICE FORM
DAILY TIME RECORD
19
20 8:00 12:16 1:00 5:00
25
26
27 8:00 12:11 1:00 5:00
28
29
30
______________________________________________
Signature
Verified as to prescribed hours
SHEENA R. MACALAM
HRMO III